Drugs that you take on a regular long-term basis, and determined eligible by The MEGA Life and Health Insurance Company, and that are available at a discounted co-pay (as described in the Medical Summary) through Rubenstein Pharmacy at Hall Health. This additional mail order option uses the same formular list as the regular Rubenstein prescription plan, but offers the convenience of delivery by mail.

To order prescriptions, first read and agree to the Hall Health Mail Order Program Agreement, then complete the Mail Order Patient Registration Form. The pharmacy will also need the following to process a mail order request and subsequent refills:

• Original prescription
• Current mailing address and daytime phone number
• Credit information (if applicable)

Prescriptions must be dropped off in person or mailed in to Rubenstein Pharmacy. Mail order prescriptions must be paid for by cash or credit. Checks of any kind will not be accepted for mail order prescriptions. Patients should allow 7-10 working days after the pharmacy receives the prescription for the drugs to arrive via U.S. Mail. If an alternate means of delivery is required or requested, an additional shipping and handling fee may apply.

Rubenstein Pharmacy reserves the right to contact the prescribing physician to confirm the need for maintenance medication and the right to verify future GAIP eligibility.

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